PACMED CLINICS (NPI# 1760012868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760012868 |
| Entity Type | Organization |
| Organization Name | PACMED CLINICS |
| Practice Address |
751 Ne Blakely Dr Issaquah WA 98029-6201 |
| Practice Telephone | 0632624002 |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |
| Authorized Official Name | VIK DABHI (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 2066214316 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | PACMED CLINICS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pacific Medical Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841550530 | Pacmed Clinics | Clinic/Center | 220 15th Ave Se, Puyallup, WA 98372-3797 | 2012-05-29 |
| 1437202249 | Pacmed Clinics | Clinic/Center | 1101 Madison St Ste 400, Seattle, WA 98104-3599 | 2007-01-18 |
| 1629019500 | Pacmed Clinics | Clinic/Center | 12910 Totem Lake Blvd Ne Ste 101, Kirkland, WA 98034-2901 | 2006-06-09 |
| 1386183697 | Pacmed Clinics | Clinic/Center | 1909 214th St Se Ste 300, Bothell, WA 98021 | 2017-02-20 |
| 1124567474 | Pacmed Clinics | Clinic/Center | 1101 Madison St Ste 301, Seattle, WA 98104-3599 | 2017-02-20 |
| 1588103451 | Pacmed Clinics | Internal Medicine | 1909 214th St Se Ste 300, Bothell, WA 98021 | 2017-02-13 |
| 1205027372 | Pacmed Clinics | Radiology | 1200 12th Ave S, Seattle, WA 98144-2712 | 2007-08-05 |
| 1013107630 | Pacmed Clinics | Clinic/Center | 31833 Gateway Center Blvd S, Federal Way, WA 98003-5616 | 2007-07-30 |
| 1922214212 | Pacmed Clinics | Internal Medicine | 10416 5th Ave Ne, Seattle, WA 98125-7402 | 2007-05-15 |
| 1013061217 | Pacmed Clinics | Internal Medicine | 1200 12th Ave S, Seattle, WA 98124 | 2007-01-23 |
| Street Address |
751 NE BLAKELY DR |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98029-6201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154325751 | Ann-elizabeth Georgianne Jarris | Emergency Medicine | 751 Ne Blakely Dr, Issaquah, WA 98029-6201 | 2005-06-10 |
| 1952935157 | Sunny Yoon | Registered Nurse | 751 Ne Blakely Dr, Swedish Issaquah Campus, Issaquah, WA 98029-6201 | 2020-02-26 |
| 1851864193 | Rachel Licia Crawford | Registered Nurse | 751 Ne Blakely Dr, Issaquah, WA 98029-6201 | 2019-01-09 |
| 1538617881 | Jan Marie Kay | Pharmacist | 751 Ne Blakely Dr, Testing and Treatment 3rd Floor, Issaquah, WA 98029-6201 | 2016-09-15 |
| 1639627177 | Veronica Esquibel | Pharmacist | 751 Ne Blakely Dr, Issaquah, WA 98029-6201 | 2016-09-13 |
| 1326406968 | Heather Hires | Registered Nurse | 751 Ne Blakely Dr, Issaquah, WA 98029-6201 | 2016-02-09 |
| 1841664729 | Yeachan Hwang | Student in an Organized Health Care Education/Training Program | 751 Ne Blakely Dr, Issaquah, WA 98029-6201 | 2015-11-16 |
| 1588036909 | Carrie Hall | Registered Nurse | 751 Ne Blakely Dr, Issaquah, WA 98029-6201 | 2015-10-25 |
| 1376914721 | Jessica D Kim | Dietitian, Registered | 751 Ne Blakely Dr, 3rd Floor, Issaquah, WA 98029-6201 | 2015-10-12 |
| 1043602899 | Morgan M Wise | Emergency Medicine | 751 Ne Blakely Dr, Issaquah, WA 98029-6201 | 2015-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730161 | Katelyn Creech | Counselor | 1505 16th Lane Ne, Apt 404 Building O, Issaquah, WA 98029 | 2020-08-13 |
| 1326695438 | M Shoaib Haider Siddiqui | Dentist | Issaquah Modern Dentistry, 1416 Highlands Drie Ne, Suite 120, Issaquah, WA 98029 | 2019-08-22 |
| 1053885061 | Rose Osborne | Registered Nurse | 4580 Klahanie Dr Se #181, Sammamish, WA 98029 | 2019-01-14 |
| 1598260960 | Caryn Crosbie | Behavior Technician | 22526 Se 64th Place, Building D Suite 210, Issaquah, WA 98029 | 2018-03-28 |
| 1194110908 | May Y. Mar | Family Medicine | 5708 E. Lake Sammamish Pkwy Se, Issaquah, WA 98029 | 2015-03-30 |
| 1659765816 | Eastside Social Skills Therapy LLC | Preferred Provider Organization | 5436 232nd Ave Se, Issaquah, WA 98029 | 2015-03-26 |
| 1649513946 | Linda Scoppettone Knodel | Registered Nurse | 5303 231 Ave. Se, Issaquah, WA 98029 | 2013-04-04 |
| 1720323116 | Morley Slutsky | Preventive Medicine | 4580 Klahanie Dr. S.e.,#125, Issaquah, WA 98029 | 2012-12-11 |
| 1619248820 | Silas Dickenson Dudley | Dentist | 2520 Ne Park Dr, Suite C, Issaquah, WA 98029 | 2012-01-19 |
| 1659641678 | Cynthia J Creel | Technician/Technologist | 4580 Klahanie Dr. Se, #332, Issaquah, WA 98029 | 2012-01-06 |
| Find all providers in zip 98029 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750709358 | Eastside Medical Group, LLC | Clinic/Center | 1301 4th Ave Nw, Issaquah, WA 98027-9371 | 2014-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326676818 | Nocd Washington PC | Clinic/Center | 2320 130th Ave Ne Ste 110, Bellevue, WA 98005-1752 | 2020-03-30 |
| 1922635887 | Cascade Nurse Practitioners | Clinic/Center | 5409 100th St Sw Unit 39800, Lakewood, WA 98496-0970 | 2020-03-23 |
| 1942735667 | The Evergreen At Northpoint | Clinic/Center | 2111 N Northgate Way Ste 101, Seattle, WA 98133-9018 | 2017-05-01 |
| 1174061543 | Antares Wellness Pllc | Clinic/Center | 9319 7th Ave S, Seattle, WA 98108-4604 | 2017-02-06 |
| 1962852038 | Northwest Pain Relief Centers, LLC | Clinic/Center | 503 W Fir St, Suite D, Sequim, WA 98382-3210 | 2016-06-20 |
| 1851741698 | Marconi Chiropractic and Wellness | Clinic/Center | 11207 Mccutcheon Rd, Bonney Lake, WA 98391-8103 | 2016-06-13 |
| 1356738694 | Northwest Pain Relief Centers LLC | Clinic/Center | 7424 Bridgeport Way W Ste 305, Lakewood, WA 98499-8135 | 2015-04-24 |
| 1306231170 | Objective Medical Assessments Corp | Clinic/Center | 401 2nd Ave S, #110, Seattle, WA 98104-3858 | 2015-03-30 |
| 1477946754 | Rose Urgent Care and Family Practice | Clinic/Center | 650 N Devine Rd Ste B, Vancouver, WA 98661-6979 | 2015-03-11 |
| 1336549609 | Ranger Group Pllc | Clinic/Center | 16150 Ne 85th St Ste 110, Redmond, WA 98052-3541 | 2014-08-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.